Term
| When treating a young person with back pain, what should PTs pay attention to? |
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Definition
| -In young people with back pain, visceral disease is rarely the first thought as a cause of back pain. Prostatitis can be the cause of back pain of unknown origin in youn males. |
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Term
| When rehabilitiating a client with a history of prostatitis, what should PTs be aware of and consider? |
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Definition
| Symptoms associated with UTIs: urinary frequency and urgency, nocturia, dysuria, discharge, fever, chills, low back or low ab pain, malaise, myalgia, etc |
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Term
| With BPH, when would medical referral be necessary? |
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Definition
| Urinary frequency especially at night, trouble starting or finishing urination, weak flow or interupted urine stream. painful or bloody urine, unexplained back or pelvis pain |
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Term
| What are the side effects of the pharmacologic agents used to treat BPH? What should PTs advise clients about? |
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Definition
| -General ms weakness, ED, loss of libido, gynecomastia, drowsiness, dizziness, tachycardia, and postural orthostatic hypotension. PT should advice pts about possible fall risk from dizziness and loss of balance |
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Term
| What are the considerations when working with a client on adrogen deprivation therapy? |
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Definition
| Decrease in bone mass and increase in bone turnover with a concomitant increased risk of fracture. Significant loss of bone mineral density occurs within 12 months of starting therapy and continues indefinately while treatment continues |
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Term
| With prostate cancer, what are the complications of medical treatment? |
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Definition
| -Radical prostatectomy: infection, incontinence, sexual dysfunction, ED |
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Term
| What should you do when you suspect your client has testicular torsion? |
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Definition
| Refer to DR. unless pain in musculoskeletal then fix it yourself |
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Term
| As a part of the screening for Cauda Equina Syndrome, what question should PTs ask clients with back pain? |
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Definition
| Ask about the presence of sexual dysfunction associated with back pain |
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Term
| What client's condition warrants a communication with a physician? |
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Definition
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Term
| What are the considerations when working with postmenopausal women? |
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Definition
| Fall risk and osteoporosis education |
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Term
| How can one differentiate pain caused by endometriosis from that caused by musculoskeletal dysfunction? |
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Definition
| Back and pelvic pain in cyclic with endometriosis. Inplants can affect psoas muscle. |
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Term
| What do PTs need to know about uterine fibroids? |
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Definition
| Recover takes a few weeks to get back to normal. Fatigue may persist for first month. |
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Term
| Why can PTs be instrumental in endometrial cancer prevention? |
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Definition
| Exercise can decrease the risk of endometrial cancer. |
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Term
| What are the roles of PTs in cervical cancer prevention and pt care? |
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Definition
| Ask pt about history of Pap smears and presence of STDs b/c these relate to cervical cancer. ANy woman with a previous history this cancer who presents with suspicious supraclavicular unusual lymph node presentation should be referred to DR. |
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Term
| Why is it important for PTs to know about ectopic pregnancy? |
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Definition
| It can be life threatening. If pt presents with lower ab pain, ipsilateral shoulder, or back pain, the PT should ask more questions about pts menstrual cycle. Anytime a woman of child-bearing age presents with should, back, pelvic, and/or ab pain along with vaginal bleeding, call DR |
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Term
| Why do PTs need to know about PCOS? |
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Definition
| It is common, PTs need to know potential side effects of clomiphene citrate. These include insomnia, blurred vision, nausea, vomiting, urinary frequency, and polyuria |
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Term
| Why do PTs need to know about ovarian cancer? |
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Definition
| Gait disturbance may be the first sign of a paraneoplastic syndrome associated with gynecologic cancer. Other symptoms associated with metastases may include thoracic or shoulder girdle pain secondary to lymphadenopathy, symptoms associated with lung or liver disease, and weight loss or fatigue. |
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Term
| What are the precautions to keep in mind when working with a client with Downs? |
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Definition
| Subluxation of cervical vertebrae are great with our without neuro symptoms. Decreased ms tone can affect respiratory function. Protruding tongue can affect feeding |
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Term
| What considerations about physical activity and exercise should one keep in mind with Downs patients? |
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Definition
| Developing an active lifestyle early in childhood is important. Cardiac factors can affect pts activity level. Lower peak heart rate and lower VO2 in Downs pts require a lower level or aerobic conditioning. Monitor vitals |
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Term
| What is the PTs role in scoliosis intervention? |
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Definition
| Screening for scoliosis and educating public. Ca intake and participation in WB activites. Normal exercise and strengthening |
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Term
| What considerations are there for postoperative care after scoliosis surgery? |
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Definition
| Log roll often and do deep breathing exercises. Mobilize within 24 hours. Quad sets, calf pumps, and ROM exercises |
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Term
| What are PT roles in Scheuermann's kyphosis intervention? |
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Definition
| Exercises (soft tissue mobilization, stretching, thoracic hyperextension, exercises to strengthen gluts and abs) to maintain flexibility and improve thoracic musculature strength |
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Term
| What are the roles of PTs in spina bifida management? |
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Definition
| Direct intervention, preventive care that can reduce complications and morbidity, adaptive equipment, and client and family education. |
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Term
| What do you need to pay attention to after casting a child with hip dysplasia? |
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Definition
| Review cast care with family and child includin traction/orthotic care. Positioning and handling techniques |
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Term
| What precautions are there when working with a patient with MD? |
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Definition
| If pt is bedridden for even a few days they can lose functional abilities. Encourage child to be as mobile as possible. Strenuous exercise can cause the breakdown of muscle fibers. Low-rep max weightlifting and eccentrics are NOT good. Exercise is best in pool and any exercise with minimal fatigue. Monitor respiratoy function closely. |
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Term
| What precautions are there when working with a pt with SMA? |
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Definition
| Frequent changes in position to prevent skin problems. Watch for pneumonia. Pharynx may need suctioning and feeding should be done slowly. Respiratory weakness and diminished head control may prevent child from benefiting from prone position. Make sure if in prone, child can clear airway. Monitor oxygen satruation levels. |
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Term
| What are recommended to monitor after torticollis surgery? |
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Definition
| Vital signs and skin condition |
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Term
| What are the precautions when working with a patient with osteogenesis imperfecta? |
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Definition
| Require careful handling to prevent fractures. Must be supported when they are being turned, positioned, moved, burped, and cuddle or held. Diaper changing must be done very gently and never lifting legs by ankles. PROM cna be done but with caution. Rotational forces are contraindicated. Gentle stretches in straight plane are good. Child must be encouraged to use full AROM without force. Strengthening exercises should avoid placing weight near joint lines, and if manual resistance is applied, long lever arms should be avoided. |
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Term
| What are the management goals for osteoporosis patients? |
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Definition
| Centerd on stabilizing or increasing bone mass, preventing fractures, maximizin physical performance and function, improving quality of life, and managing symptoms, especially in the presence of pain from fractures or deformity |
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Term
| What role do PTs play in maximizing thos managament goals? |
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Definition
| Clients must be educated about the importance of those goals. Ca supplements alone will not help. exercise is key |
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Term
| What are the precautions and considerations to keep in mind when working with a client with osteoporosis? |
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Definition
| Take caution with certain evaluation and treatment techniques. Manipulation techniques could cause fracture. flexion increases are contraindicated. Be aware of side effects of medicine that may cause blood clots, heart attack, stroke, etc. |
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Term
| What are the differences between osteomalacia and osteoporosis? |
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Definition
| Osteoporosis results in a loss of bone mass and brittle bones. Osteomalacia is a progressive disease in which lack of mineralization of new bone matrix results in a softening of bone without loss of the present bone matrix |
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Term
| What are the differences between Paget's dz and osteoporosis? |
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Definition
| Paget's dz occurs in the adult, characterized by abnormal bone remodeling with increased bone resorption and excessive, unorganzied new bone formation caused by activated osteoclasts. The normal bone marrow is eventually replaced by vascular and fibrous tissue. High bone turnover, but the excess bone lacks structural stability |
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